Organization
CHRYSALIS HEALTH OF ILLINOIS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HONE MD (MEDICAL DIRECTOR)
(847) 809-6796
Entity
Organization
Contact information
Practice address
1658 N MILWAUKEE AVE # 100-3840, CHICAGO, IL 60647-6905
(434) 248-7508
Mailing address
136 E 76TH ST APT 8F, NEW YORK, NY 10021-2831
(434) 248-7508
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104823954
NPI
CA
05
—
1104823954
—
IL
Enumeration date
12/07/2018
Last updated
04/22/2021
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